NPIMap

Organization Active NPI

Circles of Recovery LLC

  • Clinic/Center
  • Gilbert, AZ
National Provider Identifier
1679153662
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CIRCLES OF RECOVERY LLC
Practice address
18256 E Williams Field Rd
Gilbert, AZ 85295-6801
Phone
(480) 356-4370
NPI assigned
Apr 13, 2021
Last updated
Apr 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lisa Boulay, MSACNPI 1538742044
Title
Owner
Phone
(480) 356-4370

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Clinic/Center 261Q00000X NU Primary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X NU

Addresses

Primary practice location

18256 E Williams Field Rd
Gilbert, AZ 85295-6801

Mailing address

20211 E Via del Oro
Queen Creek, AZ 85142-6270
Phone (480) 476-1129

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618272000000",
    "number": "1679153662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20211 E VIA DEL ORO",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851426270",
            "telephone_number": "480-476-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18256 E WILLIAMS FIELD RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852956801",
            "telephone_number": "480-356-4370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLES OF RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-13",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-08",
        "status": "A",
        "authorized_official_last_name": "BOULAY",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-356-4370",
        "authorized_official_credential": "MSAC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.